AKT1

Chr 14AD

AKT serine/threonine kinase 1

Also known as: AKT, PKB, PKB-ALPHA, PRKBA, RAC, RAC-ALPHA

This gene encodes one of the three members of the human AKT serine-threonine protein kinase family which are often referred to as protein kinase B alpha, beta, and gamma. These highly similar AKT proteins all have an N-terminal pleckstrin homology domain, a serine/threonine-specific kinase domain and a C-terminal regulatory domain. These proteins are phosphorylated by phosphoinositide 3-kinase (PI3K). AKT/PI3K forms a key component of many signalling pathways that involve the binding of membrane-bound ligands such as receptor tyrosine kinases, G-protein coupled receptors, and integrin-linked kinase. These AKT proteins therefore regulate a wide variety of cellular functions including cell proliferation, survival, metabolism, and angiogenesis in both normal and malignant cells. AKT proteins are recruited to the cell membrane by phosphatidylinositol 3,4,5-trisphosphate (PIP3) after phosphorylation of phosphatidylinositol 4,5-bisphosphate (PIP2) by PI3K. Subsequent phosphorylation of both threonine residue 308 and serine residue 473 is required for full activation of the AKT1 protein encoded by this gene. Phosphorylation of additional residues also occurs, for example, in response to insulin growth factor-1 and epidermal growth factor. Protein phosphatases act as negative regulators of AKT proteins by dephosphorylating AKT or PIP3. The PI3K/AKT signalling pathway is crucial for tumor cell survival. Survival factors can suppress apoptosis in a transcription-independent manner by activating AKT1 which then phosphorylates and inactivates components of the apoptotic machinery. AKT proteins also participate in the mammalian target of rapamycin (mTOR) signalling pathway which controls the assembly of the eukaryotic translation initiation factor 4F (eIF4E) complex and this pathway, in addition to responding to extracellular signals from growth factors and cytokines, is disregulated in many cancers. Mutations in this gene are associated with multiple types of cancer and excessive tissue growth including Proteus syndrome and Cowden syndrome 6, and breast, colorectal, and ovarian cancers. Multiple alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Jul 2020]

OMIMResearchGenerating clinical summary…

Primary Disease Associations & Inheritance

Breast cancer, somaticMIM #114480
Colorectal cancer, somaticMIM #114500
Cowden syndrome 6MIM #615109
AD
Ovarian cancer, somaticMIM #167000
Proteus syndrome, somatic mosaicMIM #176920

Clinical highlights

Gene–disease validity (ClinGen)
not for standalone diagnostic reporting
Interpreting a novel variant
Gain of function is the curated mechanism (Gene2Phenotype), so a variant that simply removes the protein may not be the pathogenic class here — missense variants in functional domains often carry more weight.Curated gene-level mechanism — a prior for triage, not a per-variant call.
10
Active trials
2496
Pubs (1 yr)
—
P/LP submissions
—
P/LP missense
0.32
LOEUF· LoF intol.
GOF*
Mechanism· G2P

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Dual constrained — LoF & missense intolerant
LoF Constraint?
0.32LOEUF
pLI 0.976
Z-score 4.31
OE 0.14 (0.07–0.32)
Highly constrained

Highly LoF-intolerant (top ~10% of genes)

Missense Constraint?
3.48Z-score
OE missense 0.46 (0.40–0.53)
152 obs / 329.7 exp
Constrained

Highly missense-constrained (top ~0.1%)

Observed / Expected Ratios?
LoF OE?0.14 (0.07–0.32)
0≤0.351.4
Missense OE?0.46 (0.40–0.53)
0≤0.61.4
Synonymous OE?1.05
0≤1.21.6
LoF obs/exp: 4 / 29.1Missense obs/exp: 152 / 329.7Syn Z: -0.42

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

AKT1 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

Breast Cancer

Investigation of the Prognostic Value of Patterns of Genomic Alterations or Protein Expression in Patients With Operated Early Breast Cancer

ACTIVE NOT RECRUITING
NCT07630558Hellenic Cooperative Oncology GroupStarted 1997-01-31
Advanced Solid TumorsBreast CancerBreast Carcinoma

A Phase 1 Study of ATV-1601 in Patients With Advanced Cancer That Have AKT1 E17K Mutations

ACTIVE NOT RECRUITING
NCT07038369Phase PHASE1Atavistik Bio, IncStarted 2025-07-29
ATV-1601ATV-1601 + Fulvestrant
Fallopian Tube Endometrioid AdenocarcinomaFallopian Tube High Grade Serous AdenocarcinomaOvarian Endometrioid Adenocarcinoma

Testing the Addition of Ipatasertib to the Usual Chemotherapy Treatment (Paclitaxel and Carboplatin) for Stage III or IV Epithelial Ovarian Cancer

ACTIVE NOT RECRUITING
NCT05276973Phase PHASE1National Cancer Institute (NCI)Started 2022-09-08
Biopsy ProcedureCarboplatinIpatasertib
Patients With HER2-positive Breast Cancer (BC) Suitable for Neoadjuvant Therapy

A Multicenter Phase III Clinical Study and Translational Research on Adaptive Neoadjuvant Therapy of De-escalation and Escalation for HER2-Positive Breast Cancer Based on Multi-Omics Response Evaluation Model

NOT YET RECRUITING
NCT07239271Phase PHASE3Cancer Institute and Hospital, Chinese Academy of Medical SciencesStarted 2025-11-16
The control groupAdaptive therapy of de-escalation and escalation based on imaging and molecular analysis for predicting response
Endometrial Cancer

A Study of Targeted Agents for Patients With Recurrent or Persistent Endometrial Cancer

RECRUITING
NCT04486352Phase PHASE1, PHASE2Alliance Foundation Trials, LLC.Started 2021-10-20
Atezolizumab - 28 Day CycleBevacizumabIpatasertib
HR+/HER2-negative Breast CancerMetastatic Breast Cancer

Evexomostat Plus PI3K or AKT Inhibitor and Fulvestrant in Patients With a PI3K Alteration and HR+/Her2- Breast Cancer

RECRUITING
NCT05455619Phase PHASE1, PHASE2SynDevRx, Inc.Started 2022-08-26
Evexomostat
Triple Negative Breast CancerBreast Cancer

Serial Circulating Tumor DNA (ctDNA) Monitoring During Adjuvant Capecitabine in Early Triple-negative Breast Cancer

RECRUITING
NCT04768426Phase PHASE2Stanford UniversityStarted 2021-02-03
Capecitabine
Hormone Receptor(HR)-Positive, Low HER2 Advanced Breast Cancer Patients (HER2 IHC 1+ or 2+ & ISH Negative)

Trastuzumab Deruxtecan vs Endocrine Therapy in Low-HER2 HR+ Advanced Breast Cancer

RECRUITING
NCT06837792Phase PHASE2Yonsei UniversityStarted 2023-10-01
Experimental treatment armControl treatment arm
Locally Advanced (Inoperable) or Metastatic Breast Cancer

Capivasertib + CDK4/6i + Fulvestrant for Advanced/Metastatic HR+/HER2- Breast Cancer (CAPItello-292)

ACTIVE NOT RECRUITING
NCT04862663Phase PHASE3AstraZenecaStarted 2021-05-10
CapivasertibFulvestrantPalbociclib
Breast CancerER-positive Breast CancerHER2-negative Breast Cancer

Levels of Circulating Tumor DNA as a Predictive Marker for Early Switch in Treatment for Patients With Metastatic (Stage IV) Breast Cancer

ACTIVE NOT RECRUITING
NCT05826964Phase PHASE2University of MiamiStarted 2023-06-12
AI+CDK4/6iSERD+CDK4/6imTOR inhibitor + AI